Stacy Lynn Pinkston, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP5473 Issued in AZ

Practice address

125 E Elm Ave
Ste. 103
Flagstaff, AZ 86001-3258

Phone

(928) 779-1679

Fax

(928) 779-2822

NPI assigned

Sep 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1033304027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE",
            "address_2": "STE. 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679",
            "fax_number": "928-779-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E ELM AVE",
            "address_2": "STE. 103",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013258",
            "telephone_number": "928-779-1679",
            "fax_number": "928-779-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Henry Pielecha, PA-C
• Katie Elizabeth Pierce, PT, DPT
• Joy Pietropaulo, RN
• Pine Forest Education Association, Inc
• Pine Meadows Ranch
• Pinnacle Therapy Solutions, LLC
• Pirruccello Pathology PC
• Beverly Pishkur, P.T.
• Eric Robert Pitcher, P.T.
• Kaycee M Pittman, LCSW

• Speech-Language Pathologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.